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Best Appendicitis Treatment Doctors in Dhakuria, Kolkata

Laparoscopic Appendectomy - Removing an Inflamed Appendix

Best Appendicitis Treatment Doctors in Dhakuria

An emergency surgical technique called a Laparoscopic Appendectomy removes the inflamed appendix. There is a real risk that an inflamed appendix will burst and start internal bleeding, which will allow infectious organisms to enter the bloodstream and cause sepsis. During the procedure, no large incision is made, but instead, minuscule slits are made. The long, thin tube known as a laparoscope is inserted through one of the incisions, which has a tiny video camera and surgical equipment. The surgeon steers the instruments using a TV display and observes within your abdomen.

Before surgery

When a patient is admitted to the emergency room, they will have a comprehensive examination, and further information regarding their medical history will be documented. After receiving antibiotics, the patient is brought to the operation. You will be given intravenous (IV) fluids and medication, including antibiotics, before your Appendectomy. You will be unconscious during this surgery because a general anaesthetic is usually used. Alternatively, spinal anaesthesia may be administered to numb the area from the waist down.

During surgery

The best way to remove an appendix is usually through Keyhole Surgery or Laparoscopy since the recovery time is usually shorter than with Open Surgery. Your abdomen (tummy) will have three or four small incisions made during the procedure.

Special tools are introduced, such as:

  • A tube that is pumped with gas will expand your belly, giving the surgeon more room to work and improving the visibility of your appendix
  • A laparoscope, which is a little tube with a light and a camera that transmits images of the belly to a TV display
  • Medical instruments for the appendix's removal

Stitches are used to seal the wounds after your appendix is removed.

After surgery

After surgery, we monitor the patient's vitals at regular intervals. Diet and follow-up guidelines will be provided by doctors at Manipal Hospitals, Dhakuria, West Bengal.

FAQ's

There are two types of surgery. An Open Appendectomy is a conventional procedure, whereas a Laparoscopic Appendectomy is a less intrusive procedure.

  • Open Appendectomy: An incision of about 2 to 4 inches long is made in the lower right-hand side of the patient’s belly or abdomen. The appendix is removed through the incision.

Laparoscopic Appendectomy:  This method is less invasive and requires a smaller incision. Instead, 1 to 3 tiny cuts are made. A long, thin tube called a laparoscope is inserted into one of the incisions. It has a tiny video camera and surgical tools. The surgeon looks at a TV monitor to see inside your abdomen and guide the tools. The appendix is removed through one of the incisions.

Your appendix is so small that irritation causes it to enlarge swiftly and burst easily. An appendix that bursts can cause peritonitis, or inflammation of the lining of your abdomen, by dispersing infectious substances throughout your abdominal cavity. The infection can cause sepsis, a dangerous systemic disease that enters your bloodstream. Severe sepsis may be fatal. Time is essential when seeking treatment for appendicitis, as it can rupture within 36 hours after the onset of symptoms.

Surgery usually lasts for 45 to 60 minutes.

  • Lesser pain compared to conventional methods
  • Minimal scarring
  • Reduced healing time
  • Shorter hospitalisation

Contraindications of Laparoscopic Appendectomy include:

  • Inability to tolerate general anaesthesia
  • Uncontrollable coagulopathy
  • Inability to tolerate the pneumoperitoneum of a laparoscopic method
  • Patients with unstable hemodynamics
  • Patients with established auto-immune disorders, such as Crohn's disease
  • Patients who have undergone radiation therapy

Commonly associated risks include:

  • Infection of the wound
  • Bleeding  
  • Infection, redness, and swelling of the belly if the appendix bursts (peritonitis)
  • Injury to surrounding organs and tissues

Perioperative and postoperative complications happen between 4% and 16% of the time.  The most often reported intraoperative complications are pneumothorax, splenectomy, and perforation of the stomach or oesophagus.

The most common injuries sustained by patients undergoing Laparoscopic Surgery are vascular (damage to blood vessels) and intestine injuries, which frequently happen immediately before the planned surgical procedure.

  • Dont pull off the covering tape from your incision as it falls on its own
  • Don't lift heavy weights
  • Wear loose-fitting clothes
  • Don't shower until your incision is fully healed
  • Do not drive when under medications
  • Limit sports and strenuous activities until 1 to 2 weeks post-surgery

Your recovery time depends on the type of surgery you had. If you had Laparoscopic Surgery, you would probably be able to return to work or a normal routine 7 to 10 days after surgery. If you had an open surgery, it might take 2 to 4 weeks. If your appendix ruptures, you may have a drain in your incision.

Exploratory Laparoscopy is associated with about 90% of obtaining the correct diagnosis in patients who require a laparoscopic liver biopsy and have a sensitivity and specificity of 100% and 97%, respectively.

 Apart from follow-up, you have to consult a doctor if you have:

  • Breathing difficulties
  • Blood and pus from the surgical area
  • Fever above 101 degrees Fahrenheit
  • Severe pain and swelling in the belly
  • Nausea and vomiting

In some cases, appendicitis can cause a lump called appendix mass to form an appendix. This lump is made of fatty tissue; it is the body’s way of dealing with the problem and healing itself.

If an appendix mass is found during the examination, your healthcare provider may not recommend surgery instead, you’ll be given a course of antibiotics, and later surgery will be scheduled if the mass settles down. 

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